ArticleBMC nephrology2025
Perspectives of adult advanced pre-dialysis chronic kidney disease patients about kidney replacement therapy in three referral hospitals in Rwanda.
Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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16 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLimited access to kidney replacement therapy (KRT) in Rwanda results from financial constraints, geographic challenges, a shortage of nephrologists and equipment, as well as low public awareness. We aimed to identify the factors contributing to patients' decisions regarding KRT and understand their perspectives on KRT, including their understanding, attitudes, and expectations.
methodsA cross-sectional mixed method design was conducted between May 2023 and March 2024, involving 180 chronic kidney disease (CKD) adult patients (> 18 years old) with an estimated GFR < 30 ml/min/1.73 m². It was conducted at outpatient nephrology clinics at King Faisal Hospital-Rwanda, Kigali University Teaching Hospital, and Rwanda Military Hospital. Quantitative data from hospital registries were analyzed in Stata SE 17.0, employing descriptive, bivariate, and multinomial techniques to determine factors associated with KRT modality choice. Additionally, 15 participants were conveniently selected for interviews and analysis of transcripted records were conducted using ATLAS.ti.
resultsThe mean age was 52.2 [SD = 13.9] years, with a higher representation of males. Two-thirds of the participants had end-stage kidney disease (kidney failure) with a mean eGFR of 14.64 ml/min/1.73m
conclusionThe findings revealed that prior nephrology visits significantly influenced treatment choices. Healthcare providers served as key information sources, while financial constraints and limited knowledge of CKD progression and management emerged as major barriers to optimal care. The findings indicate the need for establishing pre-dialysis clinics for improved information access and patient support. CLINICAL TRIAL NUMBER: Not applicable.
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